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BestSelf Behavioral Health Claims Specialist in Buffalo, New York

The Claims Specialist enters billing and other data into computer; posts billing data and generally organizes billing and re-billing materials; produces report from computer as requested. Types and performs related clerical work as required.

RESPONSIBILITIES:
• Enters and verifies data from source documents directly to billing software.
• Posts billing, prepares re-billings and keeps client master files up to date as information is provided.
• Keeps billing materials organized and up to date.
• Produces routine computer reports in a timely manner.
• Provides receptionist and clerical duties as required.
• Input client demographics and verifies accuracy of insurance information.
• Reviews services provided with regard to OMH, Medicare, and Managed Care regulations.
• Posts Medicaid, Medicare and Managed Care payments and reviews denials for possible errors.
• Processes Managed Care claim forms.
• Other billing duties as required.

REQUIRED KNOWLEDGE, AND SKILLS:
• Knowledge of the operation and use of personal computer
• Ability to organize and maintain billing materials in an orderly, timely fashion.
• Ability to take initiative, make appropriate decisions and solve problems with a minimum of supervision
• Ability to perform routine arithmetic computations
• Ability to understand and follow routine oral and written instructions
• Knowledge of good English usage and grammar
• Ability to receive clients and office callers and to establish and maintain good working relationships

QUALIFICATIONS:
High School Diploma or equivalency including or supplemented by courses in typing and computer operations plus two years’ full time paid experience performing billing functions OR Graduation from a two-year business school with courses in typing and computer operations plus two years’ full time paid experience performing billing functions.

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